Individual
NIMA RABBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
16133 VENTURA BLVD STE 360, ENCINO, CA 91436-2426
(818) 986-6009
Mailing address
16133 VENTURA BLVD STE 360, ENCINO, CA 91436-2426
(818) 986-6009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A9740
CA
207RN0300X
Nephrology Physician
Primary
20A9740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020A9740
—
CA
01
—
12512870
CAQH
—
Enumeration date
06/04/2007
Last updated
02/12/2016
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